Individual
AMANDA PRICE RODRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4138 19TH ST, LUBBOCK, TX 79407-2403
(806) 780-2329
(806) 780-2330
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
(806) 771-8009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1191510TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169808100
FIRSTCARE
TX
05
—
219172801
—
TX
01
—
816T88
BCBS
TX
01
—
P00804348
MEDICARE RAILROAD
TX
Enumeration date
09/15/2009
Last updated
07/18/2019
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